<ul class="breadcrumb">
    <li>Categoria Editar</li>
</ul>
<form class="form-horizontal">
    <input type="hidden" id="id" value="">
    <div class="row">
        <div class="span4">
            <div class="control-group">
                <label class="control-label" for="name">Serie-Número :</label>
                <div class="controls">
                    <div class="input-append">
                        <input type="text" id="serie" class="input-mini" placeholder="Serie">
                        <input type="text" id="number" class="input-mini" placeholder="Número">
                        <input type="text" id="document_id" class="input-mini" placeholder="Tipo Doc.">
                    </div>
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="operator_id" id="title_operator"></label>
                <div class="controls">
                    <div class="input-append">
                        <input type="text" id="operator_type" placeholder="Tipo"  class="input-mini"> 
                        <input type="text" id="operator_name" placeholder="Nombre" autocomplete="off" data-provide="typeahead">
                        <input type="text" id="operator_code" class="input-small" placeholder="RUC">  
                        <input type="text" id="operator_address" placeholder="Direccion">                         
                        <input type="hidden" id="operator_id" >                        
                    </div>
                </div>
            </div>
            <div class="control-group">
                <label class="control-label" for="operator_id" id="title_operator"></label>
                <div class="controls">
                    <div class="input-append">
                        <input type="text" id="subtotal" class="input-medium" placeholder="Base Imponible"  > 
                        <input type="text" id="tax" class="input-medium" placeholder="IGV" autocomplete="off" >
                        <input type="text" id="total" class="input-medium" placeholder="Total">  
                        <input type="hidden" id="type_change" >
                        <input type="text" id="type_change_value" class="input-medium" placeholder="Tipo de Cambio" >
                    </div>
                </div>
            </div>
        </div>
        <div class="span4">            
            <div class="control-group">
                <label class="control-label" for="name">Fecha : </label>
                <div class="controls">
                    <input type="text" id="date"  class="input-small" placeholder="Fecha">
                </div>
            </div>            
        </div>
    </div>
    <div class="control-group">
        <div class="controls">
            <button id="edit_action" class="btn btn-primary">Editar</button>
            <button id="cancel_action"  class="btn">Cancel</button>

        </div>
    </div>
</form>
